EASY ONLINE MS ORDER FORM RETURN TO HOME PAGE
if you have problems entering your order call it into 402-334-5908
ENTER YOUR DESCRIPTION OF ITEMS ORDERED. CURRENT SALE PRICES WILL BE CHARGED, PLUS FREIGHT AND INSURANCE: EXAMPLE: 1 PRO PHOTO SECURITY VEST KHAKI 2XL SIZE 1 RANGER VEST KHAKI 3XL SIZE 1 HEAD LIGHT 5 LED FOX 37185 QTY DESCRIPTION OF PRODUCT ORDERED, COLOR, SIZE PRICE EACH CREDIT CARD & SHIPPING INFORMATION SHIPPING ADDRESS MUST BE THE SAME AS CREDIT CARD BILLING ADDRESS. Card Name Visa or Master Card only Card Number Include - Dash 1234-5678-8765-4321 Expires Date Example: 12/06 or December 06 3 # on card back The last 3 digits on the back right side First Name First Name as it appears on credit card Middle Name Middle Name as it appears on credit card Last Name Last Name as it appears on credit card Street Address Must be the same as billed on credit card Address (cont.) City State/Province Zip/Post Code Country Best call times Example: after 5 PM, 12 to 4 PM Cell Phone Home Phone Work Phone Extension Ship Comment E-Mail orders are checked mon - sat 9 am to 5 pm we will acknowledge your order with a e-mail reply if you have problems entering your order call it into 402-334-5908 thank you for your order
ENTER YOUR DESCRIPTION OF ITEMS ORDERED. CURRENT SALE PRICES WILL BE CHARGED, PLUS FREIGHT AND INSURANCE: EXAMPLE: 1 PRO PHOTO SECURITY VEST KHAKI 2XL SIZE 1 RANGER VEST KHAKI 3XL SIZE 1 HEAD LIGHT 5 LED FOX 37185
PRICE EACH